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[输卵管远端病变。手术中输卵管活检的预后价值]

[Distal lesions of the Fallopian tubes. Prognostic values of peroperative tubal biopsy].

作者信息

Antoine J M, Salat-Baroux J, Merlier J, Valade S, Georges O, Feintuch M J

出版信息

J Gynecol Obstet Biol Reprod (Paris). 1985;14(7):871-6.

PMID:4093551
Abstract

78 biopsies were carried out during 63 distal tubal microsurgical operations, followed up for two years at least. The clinical outcome was studied according to the pathological state of the better tube: Viable pregnancies become more frequent with subnormal tubes (40%) and with tubes with moderate chronic salpingitis (65%). The risk of extra-uterine pregnancy is at a maximum with chronic cicatricial salpingitis (29.4%). Progressive chronic salpingitis results in only 6.6% viable pregnancies and will definitely constitute an indication for in vitro fertilization rather than microsurgery.

摘要

在63例远端输卵管显微手术中进行了78次活检,至少随访两年。根据较好一侧输卵管的病理状态研究临床结果:输卵管功能异常时活产妊娠更为常见(40%),中度慢性输卵管炎时活产妊娠率为65%。慢性瘢痕性输卵管炎时宫外孕风险最高(29.4%)。进行性慢性输卵管炎导致活产妊娠的比例仅为6.6%,绝对是体外受精而非显微手术的指征。

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